Abstract
Background: Breast cancer risk education enables women make informed decisions regarding their options for screening and risk reduction. We aimed to determine whether patient education regarding breast cancer risk using a bar graph, with or without a frequency format diagram, improved the accuracy of risk perception. Methods: We conducted a prospective, randomized trial among women at increased risk for breast cancer. The main outcome measurement was patients' estimation of their breast cancer risk before and after education with a bar graph (BG group) or bar graph plus a frequency format diagram (BG+FF group), which was assessed by previsit and postvisit questionnaires. Results: Of 150 women in the study, 74 were assigned to the BG group and 76 to the BG+FF group. Overall, 72% of women overestimated their risk of breast cancer. The improvement in accuracy of risk perception from the previsit to the postvisit questionnaire (BG group, 19% to 61%; BG+FF group, 13% to 67%) was not significantly different between the 2 groups (P = .10). Among women who inaccurately perceived very high risk (≥ 50% risk), inaccurate risk perception decreased significantly in the BG+FF group (22% to 3%) compared with the BG group (28% to 19%) (P = .004). Conclusion: Breast cancer risk communication using a bar graph plus a frequency format diagram can improve the short-term accuracy of risk perception among women perceiving inaccurately high risk.
| Original language | English (US) |
|---|---|
| Article number | 18 |
| Journal | BMC Women's Health |
| Volume | 8 |
| DOIs | |
| State | Published - Oct 20 2008 |
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ASJC Scopus subject areas
- Medicine(all)
- Obstetrics and Gynecology
- Reproductive Medicine
Cite this
Frequency format diagram and probability chart for breast cancer risk communication : A prospective, randomized trial. / Ghosh, Karthik; Crawford, Brianna J.; Pruthi, Sandhya; Williams, Constance I.; Neal, Lonzetta; Sandhu, Nicole P.; Johnson, Ruth E.; Wahner-Roedler, Dietlind; Britain, Marcia K.; Cha, Stephen S.; Ghosh, Amit.
In: BMC Women's Health, Vol. 8, 18, 20.10.2008.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Frequency format diagram and probability chart for breast cancer risk communication
T2 - A prospective, randomized trial
AU - Ghosh, Karthik
AU - Crawford, Brianna J.
AU - Pruthi, Sandhya
AU - Williams, Constance I.
AU - Neal, Lonzetta
AU - Sandhu, Nicole P.
AU - Johnson, Ruth E.
AU - Wahner-Roedler, Dietlind
AU - Britain, Marcia K.
AU - Cha, Stephen S.
AU - Ghosh, Amit
PY - 2008/10/20
Y1 - 2008/10/20
N2 - Background: Breast cancer risk education enables women make informed decisions regarding their options for screening and risk reduction. We aimed to determine whether patient education regarding breast cancer risk using a bar graph, with or without a frequency format diagram, improved the accuracy of risk perception. Methods: We conducted a prospective, randomized trial among women at increased risk for breast cancer. The main outcome measurement was patients' estimation of their breast cancer risk before and after education with a bar graph (BG group) or bar graph plus a frequency format diagram (BG+FF group), which was assessed by previsit and postvisit questionnaires. Results: Of 150 women in the study, 74 were assigned to the BG group and 76 to the BG+FF group. Overall, 72% of women overestimated their risk of breast cancer. The improvement in accuracy of risk perception from the previsit to the postvisit questionnaire (BG group, 19% to 61%; BG+FF group, 13% to 67%) was not significantly different between the 2 groups (P = .10). Among women who inaccurately perceived very high risk (≥ 50% risk), inaccurate risk perception decreased significantly in the BG+FF group (22% to 3%) compared with the BG group (28% to 19%) (P = .004). Conclusion: Breast cancer risk communication using a bar graph plus a frequency format diagram can improve the short-term accuracy of risk perception among women perceiving inaccurately high risk.
AB - Background: Breast cancer risk education enables women make informed decisions regarding their options for screening and risk reduction. We aimed to determine whether patient education regarding breast cancer risk using a bar graph, with or without a frequency format diagram, improved the accuracy of risk perception. Methods: We conducted a prospective, randomized trial among women at increased risk for breast cancer. The main outcome measurement was patients' estimation of their breast cancer risk before and after education with a bar graph (BG group) or bar graph plus a frequency format diagram (BG+FF group), which was assessed by previsit and postvisit questionnaires. Results: Of 150 women in the study, 74 were assigned to the BG group and 76 to the BG+FF group. Overall, 72% of women overestimated their risk of breast cancer. The improvement in accuracy of risk perception from the previsit to the postvisit questionnaire (BG group, 19% to 61%; BG+FF group, 13% to 67%) was not significantly different between the 2 groups (P = .10). Among women who inaccurately perceived very high risk (≥ 50% risk), inaccurate risk perception decreased significantly in the BG+FF group (22% to 3%) compared with the BG group (28% to 19%) (P = .004). Conclusion: Breast cancer risk communication using a bar graph plus a frequency format diagram can improve the short-term accuracy of risk perception among women perceiving inaccurately high risk.
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UR - http://www.scopus.com/inward/citedby.url?scp=56049114022&partnerID=8YFLogxK
U2 - 10.1186/1472-6874-8-18
DO - 10.1186/1472-6874-8-18
M3 - Article
C2 - 18937844
AN - SCOPUS:56049114022
VL - 8
JO - BMC Women's Health
JF - BMC Women's Health
SN - 1472-6874
M1 - 18
ER -